| NPI | 1689858391 |
|---|---|
| Former Legal Business Name | DBA GRANDVILLE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JOHN SCHLAFLEY Owner 616-531-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2012-02-23 |